Individual
MRS. CHRISTINE M THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
800 WOODTICK RD, WOLCOTT, CT 06716-2521
(203) 879-3111
Mailing address
800 WOODTICK RD, WOLCOTT, CT 06716-2521
(203) 879-3111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
932
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000932
CT LICENSE
CT
01
—
050000932CT01
BCBS
—
Enumeration date
02/05/2007
Last updated
10/02/2014
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